Individual
JENNIFER S CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
216 WASHINGTON HEIGHTS MED CTR, WESTMINSTER, MD 21157-5665
(410) 848-1212
Mailing address
5 ALEXANDER CHASE APT B, SPARKS, MD 21152-9010
(443) 212-5596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004321
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095524
NCCPA CERTIFICATION
—
Enumeration date
11/16/2010
Last updated
11/16/2010
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